The United States Healthcare Delivery System

The United States, Healthcare delivery system has been portrayed as chalet domains that are attributed by disintegration at the public civilization, state as well as the practice echelons. The healthcare structure in the US is not supported by a concrete legal framework, hence amorphous guidelines have existed in dividing responsibilities amongst numerous agencies, whereas, providers offering same services in the similar community and taking care of the same patients more than repeatedly work illicitly from each other. Spiegel M et. al (2002) What’s more, the brittle crucial care coordination is on the verge of crumple. This paper highlights the anomalies of division in the US health care delivery system, especially at the community level. Policy recommendations have also been highlighted to enhance greater organizations. The divisions of the health care delivery structure have contributed as pinnacle promoters to the general and paucity performance of the U.S. health care system. In this incoherent system patients and families move across single-handed health care practitioners and care settings, fostering frustrating as well as lethal patient panoramas; inadequate communication and poor answerability for a patient among numerous practitioners leading to medical dysfunction, desecrate, and doubling-up; unsatisfactory peer answerability, superiority development infrastructure; the medical information structures facilitate poor care quality collectively. Fuchs, B.S & Emmanuel, S.J (2006)

Heft expenses, intensive remedial intercession is recompensed at the expense of higher-worth elementary care, this have included precautionary medication as well the administration of persistent disease. The existing status quo inherent within the health care centers could only be eliminated if ideal characteristics of the health care system could be granted close considerations as impetus to optimum performances within the healthcare system. Patient’s medical data should be made accessible to most providers at the point of care and on most electronic health record systems. Patient care should be motivated within numerous providers as well as transitions across care backdrops that are actively administered. Health Care Service providers within and across settings are answerable to each other, reevaluate each other’s task and jointly unite to offer high quality high value care. Bartlett & Jones (2005)

Viable health care services as well as reliable information should be made accessible to patients effortlessly; this prompts a scenario whereby multiple points of entry to the system and also fostering of cultural competence among health care providers that are responsive to the patients needs. Holistic answerability for collective patients should be made ubiquitous. Fuchs, B.S & Emmanuel, S.J (2006) The healthcare system should be in a position to embrace change through novelty, learning with a keen interest to enhancing eminence, worth and patients’ experiences prospective. The policy framework should be fashioned to accommodate diverse replicas of organization to actualize the characteristics openly acknowledging that divergent regions of the country need diverse arrangements. Independent policies are incompetent with regard to fixing the divisions within the healthcare system, what would be needed are a comprehensive line of attack that progressively leads to enormous organization as well as superior presentation. Everett, M.D & Anthony, M.S (2006). Healthcare providers need payment reforms and instead presenting opportunities that invigorate massive corporate performance. The principal payment-for tune-up imbursement classification fuels the divisions within the clusters of the delivery system. In this scenario it is suggested that financiers should move away from cost-for tune-up towards package compensation configuration that recompense corresponding, high-value care. The more organizations in delivery structures prompt for more practical reforms in the payment section, the imperative aspect of this reform is purely to stir organizational performance as they recompense optimal care over the continuum of services. Shi, L & Singh D.A (2005)


Shi, L & Singh D.A (2005) Health Care Delivery in US; Structure Line of Attack San Francisco.

Bartlett & Jones (2005) Fundamentals of Health in US; System Approach in Realigning Healthcare in USA.

Everett, M.D & Anthony, M.S (2006) Medicare Expenses and Imperatives; forward looking approach in Fiscal management and study. Journal of individual finance.

Spiegel M et. al (2002) Eminence of Health care given to adults in the US. England Journal of Medicine. 202 (18)

Fuchs, B.S & Emmanuel, S.J (2006) Health care transformation; the anomalies encountered in the structures of the healthcare system.